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14 pages, 1435 KiB  
Article
Association Between Diet, Sociodemographic Factors, and Body Composition in Students of a Public University in Ecuador
by Angélica María Solís Manzano, María Victoria Padilla Samaniego, Verónica Patricia Sandoval Tamayo, Edgar Rolando Morales Caluña, Katherine Denisse Suarez Gonzalez, Tannia Valeria Carpio-Arias and Patricio Ramos-Padilla
Int. J. Environ. Res. Public Health 2025, 22(7), 1140; https://doi.org/10.3390/ijerph22071140 - 18 Jul 2025
Abstract
Body composition is associated with multiple factors. The main objective of this study is to determine the association between diet and sociodemographic factors on the body structure and composition of university students at a public university in Ecuador. This cross-sectional study allowed for [...] Read more.
Body composition is associated with multiple factors. The main objective of this study is to determine the association between diet and sociodemographic factors on the body structure and composition of university students at a public university in Ecuador. This cross-sectional study allowed for the collection of detailed body composition and dietary data from 204 students (41.7% men and 58.3% women, with an average age of 23.3 ± 4.4 years). The study was conducted using validated questionnaires and bioimpedance techniques. Statistical analysis included ANOVA tests, complemented by a PCA-Biplot, to examine the relationships between study variables. Statistical analysis revealed that men’s birthplace had a significant impact on several body measurements, such as hip circumference and weight, but no significant differences were observed in body structure and composition based on nutrient intake. Furthermore, larger upper-arm circumference in women was correlated with higher fat intake. The results of the multivariate analysis indicated a differential influence of dietary components on body composition. The study highlights the need for nutritional intervention strategies and educational programs that consider the diversity of students’ backgrounds to promote healthy habits and mitigate the negative effects of eating habits and irregular physical activity patterns on their health and body composition. Full article
(This article belongs to the Section Health Care Sciences)
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22 pages, 1556 KiB  
Review
Systemic Delivery Strategies for Oncolytic Viruses: Advancing Targeted and Efficient Tumor Therapy
by Yunxin Xia, Dan Li, Kai Yang and Xia Ou
Int. J. Mol. Sci. 2025, 26(14), 6900; https://doi.org/10.3390/ijms26146900 - 18 Jul 2025
Abstract
The rapid development of therapies using oncolytic viruses (OVs) has highlighted their unique advantages, such as their selective replication in tumor cells and their activation of a specific systemic antitumor immune response. However, effectively delivering OVs to tumor sites, especially solid tumor sites, [...] Read more.
The rapid development of therapies using oncolytic viruses (OVs) has highlighted their unique advantages, such as their selective replication in tumor cells and their activation of a specific systemic antitumor immune response. However, effectively delivering OVs to tumor sites, especially solid tumor sites, remains a critical challenge. Intratumoral injections face significant barriers in treating some malignant tumors in internal organs, while increasing preclinical data support the use of intravenous injections. Nevertheless, intravenously injected viral particles may be prematurely cleared by circulating antibodies or complements, resulting in a reduced virus dose effectively reaching the tumor site. Therefore, developing methods to shield viruses from the neutralizing environment of the bloodstream while heading toward tumor sites is a must. In this review, we discuss some of the most promising delivery methods for OVs currently under investigation. Full article
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15 pages, 2992 KiB  
Article
Radiotherapy Upregulates the Expression of Membrane-Bound Negative Complement Regulator Proteins on Tumor Cells and Limits Complement-Mediated Tumor Cell Lysis
by Yingying Liang, Lixin Mai, Jonathan M. Schneeweiss, Ramon Lopez Perez, Michael Kirschfink and Peter E. Huber
Cancers 2025, 17(14), 2383; https://doi.org/10.3390/cancers17142383 - 18 Jul 2025
Abstract
Background/Objectives: Radiotherapy (RT) is a mainstay of clinical cancer therapy that causes broad immune responses. The complement system is a pivotal effector mechanism in the innate immune response, but the impact of RT is less well understood. This study investigates the interaction [...] Read more.
Background/Objectives: Radiotherapy (RT) is a mainstay of clinical cancer therapy that causes broad immune responses. The complement system is a pivotal effector mechanism in the innate immune response, but the impact of RT is less well understood. This study investigates the interaction between RT and the complement system as a possible approach to improve immune responses in cancer treatment. Methods: Human solid cancer (lung, prostate, liver, breast cancer), lymphoma, and leukemia cells were irradiated using X-rays and treated with polyclonal antibodies or anti-CD20 monoclonal antibodies, respectively. Chromium release assay was applied to measure cell lysis after radiation with or without complement-activating antibody treatment. The expression of membrane-bound complement regulatory proteins (mCRPs; CD46, CD55, CD59), which confer resistance against complement activation, CD20 expression, apoptosis, and radiation-induced DNA double-strand breaks (γH2AX), was measured by flow cytometry. The radiosensitivity of tumor cells was assessed by colony-forming assay. Results: We demonstrate that RT profoundly impacts complement function by upregulating the expression of membrane-bound complement regulatory proteins (mCRPs) on tumor cells in a dose- and time-dependent manner. Impaired complement-mediated tumor cell lysis could thus potentially contribute to radiotherapeutic resistance. We also observed RT-induced upregulation of CD20 expression on lymphoma and leukemic cells. Notably, complement activation prior to RT proved more effective in inducing RT-dependent early apoptosis compared to post-irradiation treatment. While complement modulation does not significantly alter RT-induced DNA-damage repair mechanisms or intrinsic radiosensitivity in cancer cells, our results suggest that combining RT with complement-based anti-cancer therapy may enhance complement-dependent cytotoxicity (CDC) and apoptosis in tumor cells. Conclusions: This study sheds light on the complex interplay between RT and the complement system, offering insights into potential novel combinatorial therapeutic strategies and a potential sequential structure for certain tumor types. Full article
(This article belongs to the Special Issue Combination Immunotherapy for Cancer Treatment)
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31 pages, 3874 KiB  
Review
Vertical-Axis Wind Turbines in Emerging Energy Applications (1979–2025): Global Trends and Technological Gaps Revealed by a Bibliometric Analysis and Review
by Beatriz Salvador-Gutierrez, Lozano Sanchez-Cortez, Monica Hinojosa-Manrique, Adolfo Lozada-Pedraza, Mario Ninaquispe-Soto, Jorge Montaño-Pisfil, Ricardo Gutiérrez-Tirado, Wilmer Chávez-Sánchez, Luis Romero-Goytendia, Julio Díaz-Aliaga and Abner Vigo-Roldán
Energies 2025, 18(14), 3810; https://doi.org/10.3390/en18143810 - 17 Jul 2025
Abstract
This study provides a comprehensive overview of vertical-axis wind turbines (VAWTs) for emerging energy applications by combining a bibliometric analysis and a thematic mini-review. Scopus-indexed publications from 1979 to 2025 were analyzed using PRISMA guidelines and bibliometric tools (Bibliometrix, CiteSpace, and VOSviewer) to [...] Read more.
This study provides a comprehensive overview of vertical-axis wind turbines (VAWTs) for emerging energy applications by combining a bibliometric analysis and a thematic mini-review. Scopus-indexed publications from 1979 to 2025 were analyzed using PRISMA guidelines and bibliometric tools (Bibliometrix, CiteSpace, and VOSviewer) to map global research trends, and a parallel mini-review distilled recent advances into five thematic areas: aerodynamic strategies, advanced materials, urban integration, hybrid systems, and floating offshore platforms. The results reveal that VAWT research output has surged since 2006, led by China with strong contributions from Europe and North America, and is concentrated in leading renewable energy journals. Dominant topics include computational fluid dynamics (CFD) simulations, performance optimization, wind–solar hybrid integration, and adaptation to turbulent urban environments. Technologically, active and passive aerodynamic innovations have boosted performance albeit with added complexity, remaining mostly at moderate technology readiness (TRL 3–5), while advanced composite materials are improving durability and fatigue life. Emerging applications in microgrids, building-integrated systems, and offshore floating platforms leverage VAWTs’ omnidirectional, low-noise operation, although challenges persist in scaling up, control integration, and long-term field validation. Overall, VAWTs are gaining relevance as a complement to conventional turbines in the sustainable energy transition, and this study’s integrated approach identifies critical gaps and high-priority research directions to accelerate VAWT development and help transition these turbines from niche prototypes to mainstream renewable solutions. Full article
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23 pages, 6037 KiB  
Article
Integrated Assessment of Groundwater Vulnerability and Drinking Water Quality in Rural Wells: Case Study from Ceanu Mare Commune, Northern Transylvanian Basin, Romania
by Nicolae-Leontin Petruța, Ioana Monica Sur, Tudor Andrei Rusu, Timea Gabor and Tiberiu Rusu
Sustainability 2025, 17(14), 6530; https://doi.org/10.3390/su17146530 - 17 Jul 2025
Abstract
Groundwater contamination by nitrates (NO3) and nitrites (NO2) is an urgent problem in rural areas of Eastern Europe, with profound public health and sustainability implications. This paper presents an integrated assessment of groundwater vulnerability and water quality [...] Read more.
Groundwater contamination by nitrates (NO3) and nitrites (NO2) is an urgent problem in rural areas of Eastern Europe, with profound public health and sustainability implications. This paper presents an integrated assessment of groundwater vulnerability and water quality in rural wells in the Ceanu Mare commune, Cluj County, Romania—a representative area of the Northern Transylvania Basin, characterized by diverse geological structures, intensive agricultural activities, and incomplete public water infrastructure. This study combines detailed hydrochemical analyses, household-level studies, and geological context to identify and quantify key factors influencing nitrate and microbial contamination in rural wells, providing a comprehensive perspective on water quality challenges in the central part of Romania. This study adopts a multidisciplinary approach, integrating detailed geotechnical investigations conducted through four strategically located boreholes. These are complemented by extensive hydrogeological and lithological characterization, as well as rigorous chemical and microbiological analyses of nearby wells. The results reveal persistently elevated concentrations of NO3 and NO2, commonly associated with inadequate livestock waste management and the proximity of manure storage areas. Microbiological contamination was also frequent. In this study, the NO3 levels in well water ranged from 39.7 to 48 mg/L, reaching up to 96% of the EU/WHO threshold (50 mg/L), while the NO2 concentrations varied from 0.50 to 0.69 mg/L, exceeding the legal limit (0.5 mg/L) in 87% of the sampled wells. Ammonium (NH4+) was detected (0.25–0.34 mg/L) in all the wells, below the maximum allowed limit (0.5 mg/L) but indicative of ongoing organic pollution. All the well water samples were non-compliant for microbiological parameters, with E. coli detected in 100% of cases (5–13 CFU/100 mL). The regional clay–marl substrate offers only limited natural protection against pollutant infiltration, primarily due to lithological heterogeneity and discontinuities observed within the clay–marl layers in the study area. This research delivers a replicable model for rural groundwater assessment and addresses a critical gap in regional and European water safety studies. It also provides actionable recommendations for sustainable groundwater management, infrastructure development, and community risk reduction in line with EU water directives. Full article
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21 pages, 527 KiB  
Article
Safer Nights Out: The Role of Mobile Apps in Preventing Sexual Violence
by Tinkara Bulovec and Katja Eman
Urban Sci. 2025, 9(7), 276; https://doi.org/10.3390/urbansci9070276 - 16 Jul 2025
Viewed by 109
Abstract
Engaging in nightlife activities is an essential form of leisure, especially among young people. However, it also presents considerable risks associated with the occurrence of various forms of violence. Recently, increasing attention has been directed toward sexual violence occurring in nightlife settings. Despite [...] Read more.
Engaging in nightlife activities is an essential form of leisure, especially among young people. However, it also presents considerable risks associated with the occurrence of various forms of violence. Recently, increasing attention has been directed toward sexual violence occurring in nightlife settings. Despite numerous preventive efforts, such as awareness raising, bystander intervention training, alcohol policies, and situational preventive measures, sexual violence remains a persistent issue in nightlife contexts. With the extended usage of smartphones, mobile apps represent a promising approach that complements sexual violence prevention. This article presents findings from a systematic literature review and an online overview of mobile apps aimed at the intervention and prevention of sexual violence, focusing on identifying features suitable for nightlife contexts. The literature review revealed limited academic resources addressing such mobile apps, with only six articles found across four databases. An online review highlighted a wide range of mobile apps that tackle violence. However, when it comes to sexual violence, only 18 apps explicitly focus on prevention or intervention. Although many apps address some aspects of the problem, we noticed a lack of a comprehensive approach that would target all relevant stakeholders. Based on the conducted mobile app’s feature assessment, we propose a set of functionalities that should be incorporated into a holistic mobile app for nightlife sexual violence prevention, which may complement existing educational, community-based, and structural prevention efforts. Full article
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19 pages, 522 KiB  
Article
Rural Entrepreneurs and Forest Futures: Pathways to Emission Reduction and Sustainable Energy
by Ephraim Daka
Sustainability 2025, 17(14), 6526; https://doi.org/10.3390/su17146526 - 16 Jul 2025
Viewed by 61
Abstract
Rural areas around the world are increasingly dealing with energy and environmental challenges. These challenges are particularly acute in developing countries, where persistent reliance on traditional energy sources—such as wood fuel—intersects with concerns about forest conservation and energy sustainability. While wood fuel use [...] Read more.
Rural areas around the world are increasingly dealing with energy and environmental challenges. These challenges are particularly acute in developing countries, where persistent reliance on traditional energy sources—such as wood fuel—intersects with concerns about forest conservation and energy sustainability. While wood fuel use is often portrayed as unsustainable, it is important to acknowledge that much of it remains ecologically viable and socially embedded. This study explores the role of rural entrepreneurs in shaping low-carbon transitions at the intersection of household energy practices and environmental stewardship. Fieldwork was carried out in four rural Zambian communities in 2016 and complemented by 2024 follow-up reports. It examines the connections between household energy choices, greenhouse gas emissions, and forest resource dynamics. Findings reveal that over 60% of rural households rely on charcoal for cooking, with associated emissions estimated between 80 and 150 kg CO2 per household per month. Although this is significantly lower than the average per capita carbon footprint in industrialized countries, such emissions are primarily biogenic in nature. While rural communities contribute minimally to global climate change, their practices have significant local environmental consequences. This study draws attention to the structural constraints as well as emerging opportunities within Zambia’s rural energy economy. It positions rural entrepreneurs not merely as policy recipients but as active agents of innovation, environmental monitoring, and participatory resource governance. A model is proposed to support sustainable rural energy transitions by aligning forest management with context-sensitive emissions strategies. Full article
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19 pages, 2160 KiB  
Article
Genetic Diversity and Phylogenetic Analysis Among Multidrug-Resistant Pseudomonas spp. Isolated from Solid Waste Dump Sites and Dairy Farms
by Tuhina Das, Arkaprava Das, Neha Das, Rittika Mukherjee, Mousumi Saha, Dipanwita Das and Agniswar Sarkar
Acta Microbiol. Hell. 2025, 70(3), 30; https://doi.org/10.3390/amh70030030 - 16 Jul 2025
Viewed by 78
Abstract
The excessive use of antimicrobials drives the emergence of multidrug resistance (MDR) in bacterial strains, which harbor resistance genes to survive under diverse drug pressures. Such resistance can result in life-threatening infections. The predominance of MDR Pseudomonas spp. poses significant challenges to public [...] Read more.
The excessive use of antimicrobials drives the emergence of multidrug resistance (MDR) in bacterial strains, which harbor resistance genes to survive under diverse drug pressures. Such resistance can result in life-threatening infections. The predominance of MDR Pseudomonas spp. poses significant challenges to public health and environmental sustainability, particularly in ecosystems affected by human activities. Characterizing MDR Pseudomonas spp. is crucial for developing effective diagnostic tools and biosecurity protocols, with broader implications for managing other pathogenic bacteria. Strains were diagnosed through 16S rRNA PCR and sequencing, complemented by phylogenetic analysis to evaluate local and global evolutionary connections. Antibiotic susceptibility tests revealed extensive resistance across multiple classes, with MIC values surpassing clinical breakpoints. This study examined the genetic diversity, resistance potential, and phylogenetic relationships among Pseudomonas aeruginosa strain DG2 and Pseudomonas fluorescens strain FM3, which were isolated from solid waste dump sites (n = 30) and dairy farms (n = 22) in West Bengal, India. Phylogenetic analysis reveals distinct clusters that highlight significant geographic linkages and genetic variability among the strains. Significant biofilm production under antibiotic exposure markedly increased resistance levels. RAPD-PCR profiling revealed substantial genetic diversity among the isolates, indicating variations in their genetic makeup. In contrast, SDS-PAGE analysis provided insights into the protein expression patterns that are activated by stress, which are closely linked to MDR. This dual approach offers a clearer perspective on their adaptive responses to environmental stressors. This study underscores the need for vigilant monitoring of MDR Pseudomonas spp. in anthropogenically impacted environments to mitigate risks to human and animal health. Surveillance strategies combining phenotypic and molecular approaches are essential to assess the risks posed by resilient pathogens. Solid waste and dairy farm ecosystems emerge as critical reservoirs for the evolution and dissemination of MDR Pseudomonas spp. Full article
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22 pages, 3313 KiB  
Article
Transcriptome Analysis and CFEM Gene Overexpression in Metschnikowia bicuspidata Under Hemocyte and Iron Ion Stress
by Bingnan Zuo, Xiaodong Li, Ji Zhang, Bingyu Li, Na Sun and Fang Liang
Pathogens 2025, 14(7), 691; https://doi.org/10.3390/pathogens14070691 - 14 Jul 2025
Viewed by 144
Abstract
The “milky disease” in Chinese mitten crabs (Eriocheir sinensis), caused by Metschnikowia bicuspidata, poses significant threats to aquaculture, though its pathogenic mechanisms remain poorly understood. This study employs transcriptomic sequencing to analyze gene expression changes in Metschnikowia bicuspidata under hemocyte [...] Read more.
The “milky disease” in Chinese mitten crabs (Eriocheir sinensis), caused by Metschnikowia bicuspidata, poses significant threats to aquaculture, though its pathogenic mechanisms remain poorly understood. This study employs transcriptomic sequencing to analyze gene expression changes in Metschnikowia bicuspidata under hemocyte challenge, iron overload (1 mmol/mL), and combined stress, with functional validation through Common in Fungal Extracellular Membrane (CFEMgene) overexpression strains. Key findings reveal that (1) hemocyte challenge activated base excision repair (−log10[P] = 7.58) and ribosome biogenesis pathways, indicating fungal adaptation through DNA repair and enhanced protein synthesis to counter host immune attacks (e.g., ROS-mediated damage). (2) Iron overload induced glutathione metabolism and pentose phosphate pathway enrichment, demonstrating mitigation of ferroptosis through NADPH/GSH antioxidant systems and autophagy/proteasome coordination. (3) Under combined stress, ribosome biogenesis (−log10[P] = 1.3) and non-homologous end-joining pathways coordinated DNA repair with stress protein synthesis, complemented by vacuolar V-ATPase-mediated iron compartmentalization. (4) CFEM genes showed significant upregulation under hemocyte stress, with overexpression strains exhibiting enhanced biofilm formation (35% increased MTT cytotoxicity) and infectivity (40% higher infection rate), confirming CFEM domains mediate pathogenesis through iron homeostasis and virulence factor production. This work elucidates how M. bicuspidata employs metabolic reprogramming, oxidative stress responses, and CFEM-mediated iron regulation to establish infection, providing critical insights for developing targeted control strategies against milky disease. Full article
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15 pages, 505 KiB  
Review
The Role of Genomic Scores in the Management of Prostate Cancer Patients: A Comprehensive Narrative Review
by Alessandro Viti, Leonardo Quarta, Paolo Zaurito, Alfonso Santangelo, Andrea Cosenza, Francesco Barletta, Simone Scuderi, Armando Stabile, Vito Cucchiara, Francesco Montorsi, Giorgio Gandaglia and Alberto Briganti
Cancers 2025, 17(14), 2334; https://doi.org/10.3390/cancers17142334 - 14 Jul 2025
Viewed by 132
Abstract
Genomic score testing is increasingly being integrated into the management of prostate cancer (PCa) to overcome the limitations of traditional clinical and pathological parameters. Genomic tools will represent essential components of precision medicine, supporting risk stratification, therapeutic decision-making, and personalized screening strategies. Genomic [...] Read more.
Genomic score testing is increasingly being integrated into the management of prostate cancer (PCa) to overcome the limitations of traditional clinical and pathological parameters. Genomic tools will represent essential components of precision medicine, supporting risk stratification, therapeutic decision-making, and personalized screening strategies. Genomic score tests can be broadly classified into two main categories: polygenic risk scores (PRSs) and tumor-derived genomic classifiers (GCs). While not yet standard in routine practice, several international guidelines recommend their selective use when results are likely to impact clinical management. PRSs estimate an individual’s susceptibility to PCa based on the cumulative effect of multiple low-penetrance germline genetic variants. These scores show promise in enhancing early detection strategies and identifying men at higher genetic risk who may benefit from tailored screening protocols. Tumor-based GCs assays provide prognostic information that complements conventional clinical and pathological parameters, and are used to guide treatment decisions, including eligibility for active surveillance (AS) or adjuvant therapy after treatment of the primary tumor. This review summarizes and analyzes the current evidence on genomic testing in PCa, with a focus on the available assays, their clinical applications, and their predictive and prognostic value across the disease spectrum. When integrated with clinical and pathological parameters, these tools have the potential to significantly enhance personalized care and should be increasingly considered in routine clinical practice. Full article
(This article belongs to the Special Issue Advances in the Clinical Management of Genitourinary Tumors)
16 pages, 269 KiB  
Article
Genetic Susceptibility in Sinusoidal Obstruction Syndrome/Veno-Occlusive Disease: A Case–Control Study
by Ioulia Mavrikou, Marta Castelli, Tasoula Touloumenidou, Zoi Bousiou, Evangelia-Evdoxia Koravou, Anna Vardi, Apostolia Papalexandri, Christos Demosthenous, Maria Koutra, Paschalis Evangelidis, Alkistis-Kyra Panteliadou, Ioannis Batsis, Dimitrios Chatzidimitriou, Emmanouil Nikolousis, Alessandro Rambaldi, Ioanna Sakellari and Eleni Gavriilaki
Int. J. Mol. Sci. 2025, 26(14), 6712; https://doi.org/10.3390/ijms26146712 - 12 Jul 2025
Viewed by 231
Abstract
Sinusoidal Obstruction Syndrome/Veno-Occlusive Disease (SOS/VOD) is a severe complication of hematopoietic cell transplantation (HCT). Furthermore, emerging evidence suggests the potential role of complement activation and endothelial injury in SOS/VOD pathogenesis. In this study, we aimed to identify potential distinct pathogenic genetic variants between [...] Read more.
Sinusoidal Obstruction Syndrome/Veno-Occlusive Disease (SOS/VOD) is a severe complication of hematopoietic cell transplantation (HCT). Furthermore, emerging evidence suggests the potential role of complement activation and endothelial injury in SOS/VOD pathogenesis. In this study, we aimed to identify potential distinct pathogenic genetic variants between SOS/VOD and other endothelial injury syndromes following HCT, such as transplant-associated thrombotic microangiopathy (TA-TMA). For this aim, genomic DNA from 30 SOS/VOD patients and 30 controls with TA-TMA was analyzed. Using Next-Generation Sequencing (NGS), variants in complement-related genes (CFH, CFI, CFB, CFD, C3, CD55, C5, CD46, and thrombomodulin/THBD) and ADAMTS13 were examined. Out of 426 detected variants, 20 were classified as pathogenic. In SOS/VOD patients, variants were identified in ADAMTS13 (4), CFH (3), C3 (2), and CFB (1) genes. One of the variants has been recognized as the strongest genetic predictor of ADAMTS13 activity. Controls exhibited more variants in complement-related genes, particularly CFH, CFI, and C3. The genetic differences between SOS/VOD and TA-TMA highlight different pathogenic mechanisms, offering the potential for targeted risk assessment and therapy in HCT recipients. Full article
(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
20 pages, 1188 KiB  
Review
Increased Cardiovascular Mortality in Hemodialysis: The Role of Chronic Inflammation, Complement Activation, and Non-Biocompatibility
by Ákos Géza Pethő, Tibor Fülöp, Petronella Orosz, Gábor Szénási, Mihály Tapolyai and László Dézsi
Toxins 2025, 17(7), 345; https://doi.org/10.3390/toxins17070345 - 10 Jul 2025
Viewed by 330
Abstract
Background: Chronic kidney disease (CKD) is an established global health problem, with the increased prevalence of vascular inflammation, accelerated atherogenesis, and thrombotic risk all contributing to overall cardiovascular risk. The major CKD-specific risk factor is presumed to be the accumulation of uremic toxins [...] Read more.
Background: Chronic kidney disease (CKD) is an established global health problem, with the increased prevalence of vascular inflammation, accelerated atherogenesis, and thrombotic risk all contributing to overall cardiovascular risk. The major CKD-specific risk factor is presumed to be the accumulation of uremic toxins in circulation and tissues, further accelerating the progression of CKD and its co-morbidities, including those of bone mineral disorders and cardiovascular diseases. Materials and Methods: In our narrative review, we focused on non-traditional cardiovascular risk factors, as they evolve with declined kidney function and are potentially further modulated by the choice of kidney replacement therapy. Results: Based on the data from the literature to date, the pre-eminent role of non-traditional risk factors emerges to mediate inflammation and increased cardiovascular mortality. In particular, patients receiving hemodialysis (HD) display dramatically increased CVD-mediated mortality. This intensified state of inflammation may be linked to the direct exposure of the bloodstream to a bio-incompatible environment in HD; for both complement-mediated and non-complement-mediated reactions, the possible contribution of neutrophil extracellular traps and complement activation-related pseudoallergy are reviewed in detail. Conclusions: Our narrative review emphasizes key elements of a bio-incompatible HD environment that may contribute to increased cardiovascular mortality in patients receiving HD. Summarizing these results may provide conceptual opportunities to develop new therapeutic targets. Full article
(This article belongs to the Section Uremic Toxins)
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20 pages, 338 KiB  
Article
LC-MS Analysis of the Polyphenolic Composition and Assessment of the Antioxidant, Anti-Inflammatory and Cardioprotective Activities of Agastache mexicana and Agastache scrophulariifolia Extracts
by Mihaela-Ancuța Nechita, Alina Elena Pârvu, Ana Uifălean, Sonia Iurian, Neli-Kinga Olah, Timea Henrietta Bab, Rodica Vârban, Vlad-Ionuț Nechita, Anca Toiu, Ovidiu Oniga, Daniela Benedec, Daniela Hanganu and Ilioara Oniga
Plants 2025, 14(14), 2122; https://doi.org/10.3390/plants14142122 - 9 Jul 2025
Viewed by 316
Abstract
This study offers a detailed assessment of the polyphenolic composition and antioxidant, anti-inflammatory, and cardioprotective properties of lyophilized extracts derived from the aerial parts of Agastache mexicana and Agastache scrophulariifolia. The polyphenolic content was determined through the quantification of total polyphenols, flavonoids, [...] Read more.
This study offers a detailed assessment of the polyphenolic composition and antioxidant, anti-inflammatory, and cardioprotective properties of lyophilized extracts derived from the aerial parts of Agastache mexicana and Agastache scrophulariifolia. The polyphenolic content was determined through the quantification of total polyphenols, flavonoids, and caffeic acid derivatives, complemented by LC-MS profiling. The antioxidant activity was evaluated in vitro using DPPH and FRAP assays, while the in vivo antioxidant and anti-inflammatory effects were investigated in a rat model of turpentine-oil-induced acute inflammation. Cardioprotective potential was assessed in a separate rat model of isoprenaline-induced myocardial infarction. Phytochemical analysis revealed a complex polyphenolic profile for both species, with tilianin and rosmarinic acid identified as predominant compounds. In the DPPH assay, both extracts exhibited marked radical scavenging activity (IC50: 65.91 ± 1.21 μg/mL for A. mexicana; 68.64 ± 2.48 μg/mL for A. scrophulariifolia). In the in vivo assays, the administration of the extracts significantly decreased pro-oxidant biomarkers (TOS, OSI, MDA, NO) and enhanced antioxidant markers (TAC, SH groups). Furthermore, the extracts led to a significant reduction in serum levels of GOT, GPT, and CK-MB in rats subjected to myocardial injury, supporting their cardioprotective efficacy. Overall, the results suggest that A. mexicana and A. scrophulariifolia represent promising natural sources of polyphenolic compounds with potential therapeutic value in oxidative-stress-related inflammatory and cardiovascular disorders. Full article
15 pages, 4245 KiB  
Article
Oxidative Stress and Complement Activation in Aqueous Cells and Vitreous from Patient with Vitreoretinal Diseases: Comparison Between Diabetic ERM and PDR
by Lucia Dinice, Pamela Cosimi, Graziana Esposito, Fabio Scarinci, Andrea Cacciamani, Concetta Cafiero, Luca Placentino, Guido Ripandelli and Alessandra Micera
Antioxidants 2025, 14(7), 841; https://doi.org/10.3390/antiox14070841 - 8 Jul 2025
Viewed by 233
Abstract
Background: Epiretinal membrane (ERM) and proliferative diabetic retinopathy (PDR) belong to the group of vitreoretinal diseases, characterized by impairments at both the retina and the vitreous. The non-diabetic and diabetic forms of ERM (no-dERM and dERM) as well as the PDR are caused [...] Read more.
Background: Epiretinal membrane (ERM) and proliferative diabetic retinopathy (PDR) belong to the group of vitreoretinal diseases, characterized by impairments at both the retina and the vitreous. The non-diabetic and diabetic forms of ERM (no-dERM and dERM) as well as the PDR are caused by microvascular disorder, which frequently occurs in association with inflammation and oxidative stress. To better characterize no-dERM, dERM, and PDR at the biomolecular level, we compared the expression of inflammatory, oxidative, lipidic peroxidation products, and complement receptors. Methods: Twenty-seven ocular fluids from patients who underwent phaco-vitrectomy were categorized as no-dERM (9, 4M/5F; 70.4 ± 6.4), dERM (6, 3M/3F; 73.2 ± 4.9), and PDR (6, 5M/1F; 63.7 ± 7.4). Six cataracts (CTR; 3M/3F; 77.7 ± 9.0) were collected for internal control of aqueous cells. Results: In aqueous cells, p65NFkB, iNOS, Nox1/Nox4, and Nrf2 were significantly upregulated, and Keap1 was downregulated in dERM compared with PDR and no-dERM. In aqueous cells, a significant upregulation for C3aR1mRNA, C5aR1mRNA, and CFHmRNA were observed in dERM. In vitreous, C3a, C5b9, and MDA levels were significantly increased in dERM compared with PDR and no-dERM. Conclusions: Inflammatory and ROS products, as well as C3aR1/C5aR1 and soluble MDA, appear of great interest, as their expression in aqueous and vitreous might have potential prognostic and therapeutic values. Full article
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13 pages, 1412 KiB  
Article
Complement Modulation Mitigates Inflammation-Mediated Preterm Birth and Fetal Neural Inflammation
by Eliza R. McElwee, Devin Hatchell, Mohammed Alshareef, Khalil Mallah, Harriet Hall, Hannah Robinson, Ramin Eskandari, Eugene Chang, Scott Sullivan and Stephen Tomlinson
Cells 2025, 14(14), 1045; https://doi.org/10.3390/cells14141045 - 8 Jul 2025
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Abstract
Preterm birth and the neonatal pathological sequelae that follow spontaneous preterm labor are closely associated with maternal and fetal inflammatory activation. Previous studies have indicated a role for the complement system in this inflammatory response. Utilizing an LPS inflammation-induced model of preterm birth, [...] Read more.
Preterm birth and the neonatal pathological sequelae that follow spontaneous preterm labor are closely associated with maternal and fetal inflammatory activation. Previous studies have indicated a role for the complement system in this inflammatory response. Utilizing an LPS inflammation-induced model of preterm birth, we investigated various delivery outcomes and their correlation with complement activation products within cervical, uterine, and fetal brain tissue after administration of LPS. We provide further evidence that complement-mediated inflammation within cervical and uterine tissue contributes to aberrant cellular changes and an increase in preterm delivery. We additionally show that a targeted complement inhibitor that specifically targets to sites of complement activation (CR2-Crry) mitigates the effects of LPS-induced pathology and preterm birth. Complement inhibition increased latency to delivery, mean gestational age at delivery, and average number of viable pups. Furthermore, the improved delivery outcomes seen with CR2-Crry treatment correlated with a reduced inflammatory response in maternal tissue and in fetal brain tissue in terms of reduced complement activation, reduced pro-inflammatory cytokines, and reduced macrophage recruitment. These data indicate that complement inhibition represents a potential therapeutic strategy for preventing preterm birth. The localization of complement inhibition by a site-targeting approach reduces the possibility of unwanted off-target effects. Full article
(This article belongs to the Section Reproductive Cells and Development)
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